Session: Addressing Intimate Partner Violence, Drug Use, and HIV Among Men in Drug Treatment


Friday, 14 January 2005: 10:00 AM-11:45 AM
Hibiscus A (Hyatt Regency Miami)
Addressing Intimate Partner Violence, Drug Use, and HIV Among Men in Drug Treatment

Organizer:	Louisa Gilbert, MSW, Columbia University School of Social Work
		Intimate Partner Violence and Illicit Drug Use Among Men in Drug Treatment Nabila El-Bassel, DSW, Louisa Gilbert, MSW, Elwin Wu, PhD, Mingway Chang, MA, Glorice Sanders, RN, MSN
		The Temporal Relationships Between Partner Violence and HIV Risk Among Drug-Involved Men Louisa Gilbert, MSW, Nabila El-Bassel, DSW, Elwin Wu, PhD, Hyun Go, MS, Deidre Ashton, MSW, Jennifer Hill, PhD, Glorice Sanders, RN, MSN
		Intimate Partner Violence Among Drug Dependent Fathers Susan S. Witte, PhD, Nabila El-Bassel, DSW, Louisa Gilbert, MSW, Elwin Wu, PhD, Mingway Chang, MA, Jorge Fontdevila, PhD, Deidre Ashton, MSW
		Men in Drug Treatment: Are There Different Patterns of Supplemental Service Utilization? Elwin Wu, PhD, Nabila El-Bassel, DSW, Louisa Gilbert, MSW, Glorice Sanders, RN, MSN
Format:	Symposium
Abstract Text: Over the last decade, accumulating research has implicated intimate partner violence (IPV) as a serious public health problem among women in drug treatment and has linked experiencing IPV with the co-occurring problems of relapse and HIV in this population. To date, however, only a few studies have examined the prevalence of perpetrating different types of IPV against female partners among men in drug treatment. Research on the relationships between perpetrating IPV, using illicit drugs and engaging in HIV risk behavior remains scarce. Policy, practice and programming initiatives aimed at addressing the perpetration of IPV among men in drug treatment, who are not in the criminal justice system, are also virtually absent. To broaden the efforts of addressing these co-occurring problems among drug-involved populations, research on the relationships between perpetration of IPV, illicit drug use and HIV risk among men in drug treatment is needed. The purpose of this symposium is to: (1) gain a better understanding of the nature and severity of the problem of perpetration of IPV among different subgroups of men in drug treatment; (2) examine potential relationships between perpetrating, using illicit drugs and engaging in sexual HIV risk behavior among men in drug treatment; (3) gain a better understanding of patterns of service utilization among men in drug treatment; and (4) identify practice, policy and programming initiatives which may best address the problem of IPV in drug treatment and shape the design of HIV and relapse prevention interventions for drug-involved men, who are at risk of perpetrating IPV. This symposium is comprised of four presentations, which are all drawn from a NIDA- funded longitudinal study of a random sample of 356 men recruited from methadone maintenance treatment programs (MMTPs) in Harlem, who reported having had sex with an intimate partner in the past 6 months. The first presentation describes the scope and prevalence of perpetration of IPV among this sample and examines its association with the use of different illicit drugs. The second presentation describes the sociodemographic characteristics, childhood trauma histories, histories of drug and alcohol abuse and IPV in family of origin, and current IPV and fathering behaviors in a subgroup of fathers of minor children from this sample at the 12 month follow-up assessment. This presentation also examines the association between perpetrating IPV and fathering behaviors. The third presentation examines the temporal relationships between perpetrating physical or sexual IPV and sexual HIV risk factors over time, testing two hypotheses: (H1) whether engaging in sexual HIV risk leads to perpetrating IPV and (H2) whether perpetrating IPV leads to engaging in different sexual HIV risk behaviors. The last presentation examines different socio-demographic characteristics and psychosocial factors associated with utilization of services outside MMTPS among 780 randomly selected men, who participated in a screening eligibility interview for the longitudinal study. Each presentation will identify practice, programming and policy implications that may be drawn from study findings.

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